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Maryland 

HA 

421 

.A36 

1989 

FOLIO 



MARYLAND 



State of Maryland 



VITAL 

Center for Health Statistics 




Department of Health and Mental Hygiene 

AN N U AL 




1989 



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V* 






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ANNUAL VITAL STATISTICS REPORT 
MARYLAND 
1989 



DIVISION OF HEALTH STATISTICS 

201 West Preston Street 

Baltimore, Maryland 21201 



Morula* 

\1A J 



A 

mi 
ft 



Nelson J. Sabatini William Donald Schaefer 

Secretary Governor 

Department of Health and Mental Hygiene State of Maryland 



UNIV OF MD COLLEGE PARK 





3 1M3D D3SDMME6 D 



The services and facilities of the Maryland State Department 
of Health and Mental Hygiene (DHMH) are operated on a non- 
discriminatory basis. This policy prohibits discrimination on 
the basis of race, color, sex, or national origin and applies to 
the provisions of employment and granting of advantages, 
privileges and accommodations. 



The department, in compliance with the Americans With 
Disabilities Act, ensures that qualified individuals with 
disabilities are given an opportunity to participate in and 
benefit from DHMH services, programs, benefits, and employment 
opportunities . 



TABLE OF CONTENTS 

Page 

Highlights of 1989 Vital Statistics 9 

Definitions and Explanatory Notes 20 

Table 

Population 

I Estimated Maryland Population by Race, Region, 
and Political Subdivision, July 1, 1989, With 
Comparable 1980 Census Figures 25 

2A Estimated Maryland Total Population by Age Group, 

Region, and Political Subdivision, July 1,1989 26 

2B Estimated Maryland White Population by Age Group, 

Region, and Political Subdivision, July 1, 1989 27 

2C Estimated Maryland All Other Races Population, 

by Age Group, Region, and Political Subdivision, 

July 1, 1989 28 

3 Estimated Maryland Male Population by Age Group, 

Region, and Political Subdivision, July 1, 1989 29 

4 Estimated Maryland Female Population by Age Group, 
Region, and Political Subdivision, July 1, 1989 30 

5 Estimated Maryland Population by Sex and Race and 
Detailed Age Group, July 1 , 1989 31 

Selected Vital Statistics, Maryland, 1940-1989 

6 Births and Birth Rates by Race, Maryland 1940-1989 35 

7 Deaths and Death Rates by Race, Maryland 1940-1989 35 

8 Infant deaths and Infant Mortality Rates by Race, 
Maryland, 1940 - 1989 36 

9 Neonatal Deaths and Neonatal Mortality Rates by Race, 
Maryland 1940 - 1989 36 

10 Postneonatal Deaths and Postneonatal Mortality Rates 

by Race, Maryland, 1940 - 1989 37 

II Fetal Deaths and Fetal Death Rates by Race, Maryland, 

1940 - 1989 37 



Table Page 

12 Marriages by Resident Status and Type of Ceremony, 
Maryland 1940 - 1989 38 

13 Absolute Divorces and Annulments by Legal Grounds 

for Decree, Maryland, 1940 - 1989 38 

Births 

14A Births and Birth Rates by Race of Mother, Region, 

and Political Subdivision, 1989 41 

14B Births and Birth Rates by Race of Child, Region, 

and Political Subdivision, 1989 42 

15 Births, Births of Low Birth Weight, & Percent of 
Births of Low Birth Weight, by Race of Mother, 

Region, and Political Subdivision, 1989 43 

16 Single and Plural Births by Birth Weight and Race 

of Mother, 1989 44 

17 Births by Month of Birth, Race of Mother, and Sex, 
Maryland, 1989 44 

18A Births by Age of Mother, Race of Mother, Region, 

and Political Subdivision, 1989, All Races 45 

18B Births by Age of Mother, Race of Mother, Region, 

and Political Subdivision, 1989, White 46 

18C Births by Age of Mother, Race of Mother, Region, 

and Political Subdivision, 1989, All Other Races 47 

18D General Fertility Rates and Birth Rates by Age of 
Mother, Race of Mother, Region, and Political 
Subdivision, 1989 , All Races 48 

18E General Fertility Rates and Birth Rates by Age of 
Mother, Race of Mother, Region, and Political 
Subdivision, 1989, White 49 

18F General Fertility Rates and Birth Rates by Age of 
Mother, Race of Mother, Region, and Political 
Subdivision, 1989 , All Other Races 50 

19 Births by Birth Order, Age of Mother, and Race of 
Mother, Maryland, 1989 51 

20 Births by Live Birth Order, Region and Political 
Subdivision, 1989 52 



Table Page 

21 Births to Unmarried Women by Race of Mother, Region, 

and Political Subdivision, 1989 53 

22 Births to Unmarried Women by Age of Mother and 

Race of Mother, Maryland, 1989 54 

23 Births to Unmarried Women by Birth Order and Race of 
Mother, Maryland, 1989 54 

24 Births by Hospitalization, Type of Hospital, 
Attendant, Region and Political Subdivision 

1989 55 

25 Births by Plurality, Age of Mother, and Race of 

Mother, Maryland, 1989 56 

26 Births by Plurality, Length of Pregnancy, and 

Race of Mother, Maryland, 1989 57 

27 Births by Birth Weight, Onset of Prenatal Care, 

and Race of Mother, Maryland, 1989 58 

28 Births by Place of Residence and Occurrence, Race 

of Mother, Region and Political Subdivision, 59 

29 Births to Residents of Maryland, and Births 
Occurring in Maryland, by Area of Residence and 

Area of Occurrence, 1989 60 

Deaths 

30 Deaths and Death Rates by Race, Region, and 

Political Subdivision, 1989 63 

31 Deaths by Month of Death and Race, Maryland, 

1989 64 

32 Deaths and Death Rate by Age, Sex, and Race, 

Maryland, 1989 64 

33 Deaths and Death Rates for Fifteen Leading Causes, 

by Sex and Race, Maryland, 1989 65 

34 The Eight Leading Causes of Male Deaths in 

Specified Age Groups, Maryland, 1989 66 

35 The Eight Leading Causes of Female Deaths in 

Specified Age Groups, Maryland, 1989 67 

36 Deaths from 73 Selected Causes, by age, Maryland, 

1989 68 



Table Page 

37 Deaths from 35 Selected Causes, by Region and 

Political Subdivision, 1989 73 

38A Death Rates for Seven Leading Causes, by Region 

and Political Subdivision, 1989 78 

38B Three-Year Average Age-Adjusted Deaths Rates by 

Political Subdivision, Selected Causes, Maryland, 

1987-1989 79 

39 Accidental Deaths by Type of Accident, Sex and Age 
Maryland, 1989 80 

40 Deaths Occurring in Institutions by Race, Region, 

and Political Subdivisions, 1989 81 

41 Deaths by Place of Residence and Occurrence, Race, 
Region, and Political Subdivision, 1989 82 

42 Deaths to Residents of Maryland, and Deaths 
Occurring in Maryland, by Area of Residence and Area 

of Occurrence, 1989 83 

Fetal and Infant Deaths 

43 Fetal Deaths and Fetal Death Rates by Race, Region, 

and Political Subdivision, 1989 87 

44 Infant Deaths and Infant Mortality Rates by Race, 

Region, and Political Subdivision, 1989 88 

45 Neonatal Deaths, Neonatal Mortality Rates, and 
Perinatal Death Rates, by Race, Region, and 

Political Subdivision, 1989 89 

Marriages 

46 Marriages by Resident Status and Type of Ceremony, 
by Region and Political Subdivision of Occurrence, 

1989 93 

47 Marriage by Age of Bride and Previous Marital Status, 

1989 94 

48 Marriages by Age of Groom and Previous Marital Status, 
1989 94 

49 Marriages by Age of Bride and Age of Groom, Maryland, 

1989 95 

50 Marriages by Previous Marital Status and Residence of 
Bride, 1989 97 



Table Page 

51 Marriages by Previous Marital Status and Residence of 
Groom Maryland, 1989 97 

52 Marriages by Previous Marital Status of Bride and Groom, 

by Type of Ceremony, Maryland, 1989 98 

53 Marriages by State of Residence of Bride and Groom, 
Maryland, 1989 98 

Divorces 

54 Absolute Divorces and Annulments by Legal Grounds for 
Decree, Region, and Political Subdivision of 
Occurrence, 1989 101 

55 Absolute Divorces and Annulments by Party to Whom Decree 
was Granted, Three Maryland Areas of Occurrence, 1989... 102 

56 Absolute Divorces and Annulments by Place Where 
Marriage was Performed, Three Maryland Areas of 
Occurrence, 1989 102 

57 Absolute Divorces and Annulments by Age of Husband 

and Wife at Time of Decree, Maryland, 1989 103 

58 Absolute Divorces and Annulments by Number of Children 
Reported Under 18 Years of Age and Duration of Marriage, 
Maryland, 1989 104 

59 Absolute Divorces and Annulments by Number of Marriages 
of Husband and Number of Marriages of Wife, Maryland, 

1989 104 

Comparative Vital Statistics 

60 Selected Natality Data by Race for Maryland and the 
United States 1979 - 1989 107 

61 Selected Mortality Data by Race for Maryland and the 
United States, 1979 - 1989 109 



Digitized by the Internet Archive 
in 2013 



http://archive.org/details/annualvitalstati19mary_25 



HIGHLIGHTS OF THE 1989 
VITAL STATISTICS IN MARYLAND 



11 



BIRTHS 

In 1989, a new certificate of live birth was introduced. Also in 
1989, the coding of race changed from the race of child to race 
of mother in agreement with similar changes by the National 
Center for Health Statistics. The majority of tables in this 
report are shown by race of mother. Table 14 is presented in 
both ways. Changes in the race coding resulted in an increase of 
2.3% in the number of white births and a 4.1 percent decline in 
the number of births of other races. 

There were 78,225 resident live births occurring during 1989. 
This represented a 2.4 percent increase in births from the 1988 
total of 76,414. This was the largest number of births for the 
State since 1964. Births increased about 3 percent for the 
United States between 1988 and 1989. 

The crude birth rate, 16.5 births per 1,000 population remained 
the same between 1988 and 1989. This was the third year since 
1968 that the Maryland rate was above the United States' rate of 
16.3. The white rate, 15.2 was slightly below the United States 
rate of 15.3, while the rate for other races, 19.9 was 8.5 
percent less than the United States' rate of 21.6. 

St. Mary's County and Baltimore City both exhibited the highest 
births rates, 18.8, while the lowest rate, 11.5, occurred in 
Allegany county. 

The general fertility rate, the total number of births per 1,000 
women aged 15-44, increased from 65.7 to 66.1. The national 
fertility rate of 69.2 was 4.5 percent higher than Maryland's. 
The United States fertility rate for white women, 66.0, was 3.3 
percent higher than the 63.8 for Maryland. For woman of other 
races, the United States rate, 84.6 was 15.8 percent higher than 
the Maryland rate of 71.2. 

Birth rates between 1980 and 1989 increased for women in all age 
groups. Birth rates for white women were lower than those for 
women of all other races for the younger age groups under 25. 
The largest differences in rates between the racial groupings 
occurred for women under 15 and women ages 15-19 where the rate 
for women of all other races were, respectively almost 3 and 2 
times the rates for white women. 

Women aged 15-19 residing in Baltimore City experienced the 
highest birth rate for that age group among all political 
subdivisions (115.7). Howard County women exhibited the lowest 
rate (20.9) for this teenage group. Montgomery County showed the 
highest birth rates, among older women aged 30-34 (111.4) and 35- 
39 (50.8), followed by Howard County with rates of 97.7 and 36.5 
respectively. 



12 

Births To Unmarried Women 

In 1989 with the introduction of a new certificate of birth, 
changes in the manner in which this information was obtained 
resulted in a large number of unknown responses for this item. 
Prior to 1989/ marital status was inferred rather than obtained 
from a direct question. Thus comparison between 1989 and earlier 
years should be made with caution. Of the total number of births 
occurring in 1989, 22,607 mothers indicated that they were not 
married. An additional 2,519 did not state their marital status. 

Low Birth Weight 

Births weighing less than 2500 grams are classified as being of 
low birth weight. In 1989, 8.0 percent of all live births were 
classified as being of low birth weight. Of white births, 5.9 
percent were of low birth weight while 12.3 percent of births to 
mothers of all other races weighed less than 2400 grams. 
Nationally, 5.7 percent of white births and 12.0 percent of 
infants of all other races were of low birth weight. 

Length of Gestation 

Length of gestation refers to the interval between the last 
normal menstrual period and the date of birth. Delivery prior to 
37 weeks gestation is classified as preterm. In 1989, 8.6 
percent of white births and 16.2 percent of births of all other 
races occurred prior to 37 weeks gestation. Births occurring at 
42 weeks and over are classified as post term deliveries. In 
1989, 12.8 percent of white births, and 10.8 percent of births of 
all other races were classified as postterm deliveries. 

Prenatal Care 

More than 83 percent of mothers reporting month of onset of 
prenatal care made their first prenatal visit in the first 
trimester of pregnancy. The proportion of mothers seeking 
prenatal care late (third trimester or not at all) was 3.9 
percent. In 1989, 88.5 percent of white mothers and 71.3 percent 
of mothers of all other races initiated care during their first 
trimester of pregnancy. 

Hospitalization and Attendant at Birth 

More than 99 percent of births occurred in hospitals. The number 
of nonhospital births increased to 688 from 605 occurring in 
1988. Overall, 97 percent of all births were delivered by a 
physician. More than 31 percent of births not occurring in 
hospitals were delivered by physicians. 



13 



DEATHS 

During 1989 there were 38/310 resident deaths - a decrease of 
less than one percent from the 1988 total of 38,637. The crude 
death rate declined from 8.4 to 8.1 per 1000 population between 
1988 and 1989. The age adjusted rate declined 3.6 percent from 
573.2 to 553.3 per 100,000 population. 

In 1979, the ninth revision of the International Classification 
of Diseases was first used for coding the Underlying Cause of 
Death. The eighth revision had been in use between 1969 and 
1978. Because of coding changes in certain categories of causes 
of death, comparisons between the 1989 data and data earlier than 
1979 should only be made with reference to coding changes. The 
National Center for Health Statistics has published comparability 
ratios for mortality data*. 



Leading Causes of Death, Maryland 1989 



Heart Disease 31.6% 




Cancer 24.8% 



Stroke 6.0% 

Accidents 3.7% 

COPD 3.5% 
Pneumonia/Flu 3.2% 



Other Causes 27.2% 



* "Estimates of Selected Comparability Ratios Based on Dual 
Coding of 1976 Death Certificates by the Eighth and Ninth 
Revisions of the International Classification of Diseases." 
Monthly Vital Statistics Report, DHEW Publication No. (PHS) 
1120, Vol. 28, No. 11, February 1980. 



80 



Leading Causes of Death, Maryland, 1989 



14 



1989 Rank 



1 
2 
3 
4 



5 

6 

7 

8 

9 

10 

11 

12 

13 

14 
15 



All Causes 

Diseases of Heart 

Malignant Neoplasms 

Cerebrovascular Diseases 

Accidents and Adverse Effects 

Motor Vehicle Accidents 

All Other Accidents 

Chronic Obstructive Pulmonary Diseases 

Pneumonia and Influenza 

Diabetes Mellitus 

Septicemia 

Homicide 

Suicide 

Nephritis, Nephrotic Syndrome and Nephrosis 

Chronic Liver Disease and Cirrhosis 

Certain Conditions Originating 

in the Perinatal Period 

Human Immunodeficiency Virus 

Atherosclerosis 



Crude 




Death 




Rate** 


Perce 


808.4 


100.0 


225.1 


31.6 


200.2 


24.8 


48.2 


6.0 


29.5 


3.7 


15.4 


1.9 


14.1 


1.7 


28.5 


3.5 


25.5 


3.2 


22.1 


2.7 


13.3 


1.6 


12.3 


1.5 


11.0 


1.4 


10.5 


1.3 


9.9 


1.2 


8.9 


1.1 


8.6 


1.1 


5.2 


0.6 



Age-Adjusted *Death Rates **For Leading Causes of Death 

Maryland 1988 and 1989 

Percent 
Change 
1988 Rank 1988 1989 1988-1989 



5 
6 
7 
8 
9 
10 
11 

12 

13 
14 
15 



All Causes 

Diseases of Heart 

Malignant Neoplasms 

Cerebrovascular Diseases 

Accidents and Adverse Effects 

Motor Vehicle Accidents 

All Other Accidents and Adverse Effects 

Chronic Obstructive Pulmonary Diseases 

Pneumonia and Influenza 

Diabetes Mellitus 

Septicemia 

Suicide 

Homicide 

Nephritis, Nephrotic Syndrome and 

Nephrosis 

Certain Conditions Originating 

in the Perinatal Period*** 

Chronic Liver Disease and Cirrhosis 

Atherosclerosis 

Human Immunodeficiency Virus 



573.2 


553.3 


-3.5 


173.0 


157.7 


-8.8 


149.6 


148.6 


-0.7 


29.5 


27.5 


-6.8 


29.8 


25.9 


-13.1 


16.6 


15.1 


-9.0 


13.2 


10.8 


-18.2 


20.2 


18.7 


-7.4 


15.0 


14.0 


-6.7 


11.5 


15.1 


31.3 


8.4 


8.0 


-4.8 


10.7 


10.1 


-5.6 


10.6 


12.4 


17.0 



6.9 



6.7 



-2.9 



6.3 


5.4 


-14.3 


8.6 


8.7 


1.2 


2.9 


2.3 


-20.7 


5.2 


7.9 


51.9 



* Rates adjusted to the U.S. 1940 Population by the Direct Method. 
** Per 100,000 Population 
*** Since the majority of deaths are under one year of age the infant 
mortality rate is given. 



Age-Adjusted* Death Rates** for Selected Types of 15 

Malignant Neoplasms, Maryland, 1970, 1981, 1988 and 1989 

Cause of Death 1970 1981 1988 1989 

Total Malignant Neoplasms 148.0 151.3 149.6 148.6 

Malignant Neoplasms of Digestive Organs 

and Peritoneum 39.0 37.7 34.9 35.1 

Malignant Neoplasms of Respiratory and 
Intrathoracic Organs 

Malignant Neoplasms of Breast 

Malignant Neoplasms of Genital Organs 

Malignant Neoplasms of Urinary Organs 

Leukemia 

♦Rates Adjusted to the U.S. 1940 Population by the Direct Method. 
** Per 100,000 Population. 

The ranking of the first eight leading causes remained the same 
as in 1988. Age-adjusted rates declined for all causes except 
diabetes mellitus, chronic liver disease and cirrhosis, homicide 
and human immunodeficiency virus (HIV) . The largest increases in 
rates occurred for HIV (+51.9%) and homicide (+31.3%). Age- 
adjusted rates for all race/sex groupings showed declines between 
1988 and 1989 except white female. Declines in rates by age 
groups occurred for all age groups except for the 1-4, 15-25, and 
55-64 year olds. 



36.4 


42.7 


46.0 


45.2 


13.0 


14.4 


13.5 


13.1 


16.1 


14.8 


14.0 


14.6 


5.8 


5.8 


4.9 


4.8 


6.0 


4.9 


4.9 


4.8 



16 



Age-Adjusted* Death Rates** By Race and Sex 
Maryland, 1988 and 1989. 



All Ages 
Male 
Female 

White 
Male 
Female 

All Other Races 
Male 
Female 







Percent 


1988 


1989 


Change 


5.7 


5.5 


-3.5 


8.2 


7.8 


-4.9 


5.0 


4.9 


-2.0 


5.7 


5.5 


-3.5 


7.3 


6.9 


-5.5 


4.4 


4.4 


— 


8.8 


8.3 


-5.7 


11.4 


10.8 


-5.3 


6.7 


6.3 


-6.0 



♦Rates Adjusted to the Total U.S. 1940 Population by the Direct 
Method. 
**Per 100,000 Population. 



Death Rates* by Age 
Maryland, 1988 and 1989 



All Ages 
Under 1 
1-4 
5-14 
15 - 24 
25 - 34 
35 - 44 
45 - 54 
55 - 64 
65 - 74 
75 - 84 
85 + 







Percent 


1988 


1989 


Change 


835.9 


808.4 


-3.3 


1161.9 


1064.6 


-8.4 


46.0 


50.0 


+8.7 


24.1 


22.4 


-7.1 


96.5 


106.1 


+9.9 


154.8 


152.7 


-1.4 


229.7 


223.7 


-2.6 


496.0 


459.8 


-7.3 


1308.8 


1308.5 


-- 


3073.5 


2870.7 


-6.6 


6891.7 


6505.5 


-5.6 


15177.5 


15857.0 


4.5 



** Per 100,000 Population 



17 



MATERNAL DEATHS 

There were 12 maternal resident deaths during 1989. This was the 
highest number since 1970. The maternal mortality rate was 15.3 
per 100,000 live births, the highest rate since 1979. 

INFANT MORTALITY 

The infant mortality rate fell to its lowest level ever--10.4 
deaths per 1000 live births. This was a 7.1 percent decrease 
from the rate of 11.2 occurring in 1988. The rate for white 
infants fell from 8.4 in 1988 to its lowest level 8.3 deaths per 
1000 births. Likewise the rate for all other races decreased to 
all time low of 14.2. This was 9.6 percent below the previous 
historical low of 15.7 reported in 1984. 

Trends in Infant Mortality by Race 

Maryland, 1920 - 1989 



200 



IMR (/1000 live births) 



150 - 



100 




~i 1 r 

1920 1930 



1940 



1950 



1960 



1970 



YEAR 



18 

MARRIAGES 



There were 46,247 marriages performed in the State of Maryland in 
1989, a two percent decrease from the total of 47,258 marriages 
occurring in the State in 1989. 

Resident Status 

Marriages in which one or both partners were residents of the 
State represented 82.6 percent of the total number performed in 
Maryland. The remaining 17.4 percent involved couples who were 
both non-residents of Maryland. Cecil County ranked first with 
30.7 percent of all non-resident marriages. Montgomery County 
ranked second with 16.1 percent, followed by Prince George's 
(6.8%), Washington (8.1%), and Garrett (5.7%) counties. 

Civil and Religious Ceremonies 

In 1989, 35.5 percent of all marriages performed in Maryland were 
civil (non-religious ceremonies). For the entire State, more 
civil ceremonies occurred in Montgomery County than in any other 
political subdivision. The 2,427 civil ceremonies performed in 
this county accounted for 14.8 percent of all such ceremonies in 
the State. When the number of civil vs. religious ceremonies 
within a particular subdivision was examined, Cecil County ranked 
the highest and Talbot County the lowest in percent. The 1,881 
civil ceremonies performed in Cecil County comprised 57.9 percent 
of all the marriages in that county, while the 55 performed in 
Queen Anne's only represented 21.5 percent there. 

Marriages by Previous Marital Status and Age 

In 1989, 54.2 percent of all marriages were first-time marriages 
for both the bride and groom. On an individual basis, 66.4 
percent of the brides and 66.2 percent of the grooms were 
marrying for the first time. 

For those marrying for the first time, 12.8 percent of the brides 
and 3.1 percent of the grooms were less than 20 years of age. 
For those remarrying, 6.7 percent of the brides and 12.6 percent 
of the grooms were 55 years of age or older. 



19 



DIVORCES 

The total number of divorces and annulments granted in the State 
was 16,404. This represented an decrease of 2.4 percent from the 
16,807 recorded in 1988. 

Legal Grounds 

The leading grounds for all divorces and annulments were 
voluntary separation. Voluntary separation accounted for 64.5 
percent of all divorces and annulments, while three years 
separation accounted for an additional 24.1 percent. 

Duration of Marriage 

Of the total number of divorces granted in 1989, 2.4 percent of 
divorced couples had been married less than two years, and 8.1 
percent 25 years or more. Fifty-five percent had been married 
less than 10 years. The median duration of marriage was 8.5 
years, indicating that 50 percent of those granted a divorce had 
been married less than 8.5 years. 



20 

DEFINITIONS AND EXPLANATORY NOTES 

The data contained in this report are presented on a residence basis, 
regardless of where the vital event occurred, unless specifically 
noted otherwise. Information on marriages and divorces is limited 
only to events occurring in Maryland. 

DEFINITIONS 

The definitions of some of the more frequently used terms in this 
report are as follows: 

Live Birth*: The complete expulsion or extraction from its mother of 
a product of human conception, irrespective of the period of 
gestation, which, after such separation, breaths or shows any other 
evidence of life, such as beating of the heart, pulsation of the 
umbilical cord or definite movement of voluntary muscle, whether or 
not the umbilical cord has been cut or the placenta is attached. 

Fetal Death*: Death prior to the complete expulsion or extraction 
from its mother of a product of human conception, irrespective of the 
duration of pregnancy; the death is indicated by the fact that after 
such separation, the fetus does not breathe or show any other evidence 
of life, such as beating of the heart, pulsation of the umbilical cord 
or definite movement of voluntary muscles. 

Infant Death: Death occurring to a person under age one. 

Neonatal Death: Death occurring to a person under 28 days of age. 

Perinatal Death: Death occurring after 20 weeks of gestation but 
before 28 days after birth. The perinatal deaths included in this 
report are, therefore, the sum of the reportable fetal deaths (fetal 
deaths after 20 weeks gestation) and the neonatal deaths. 

Low-weight Birth: A live birth weighing under 2,500 grams (5 1/2 
pounds ) . 

Length of Pregnancy: A measure of the duration of gestation in 
completed weeks, as calculated from the first day of the last normal 
menstrual period to the date of birth. 

Birth Rate: Number of live births per 1,000 population. 

Death Rate: Number of deaths from all causes per 1,000 population. 
Death rates for specific causes are per 100,000 population. 



21 



Infant Mortality Rate: Number of infant deaths per 1,000 live births. 

Fetal Mortality Rate: Number of reportable fetal deaths per 1,000 
total births. Total births include live births plus fetal deaths of 
twenty weeks gestation or more. 

Neonatal Mortality Rate: Number of neonatal deaths per 1,000 live 
births . 

Perinatal Mortality Rate: Number of perinatal deaths per 1,000 total 
births. Total births include live births plus fetal deaths of twenty 
weeks gestation or more. 

Age-adjusted Death Rate: The age-adjusted rates were computed by the 
direct method. The age-specific death rates for a given cause of 
death were applied to the standard U.S. population of 1940. The rates 
were based on 5 year age groups. Age-adjusted rates should not be 
compared directly with crude deaths rates. 

Maternal Mortality Rate: Number of maternal deaths per 100,000 live 
births . 

* The definitions of terms A and B are set by law in Section 14 (a) of 
Article 43 of the Maryland Code, 1957 Edition - Supplement. However, 
fetal deaths are reportable for filing purposes only if the death 
occurs after a gestation period of twenty completed weeks or more 
(Section 21 (a) of Article 43 supra). Therefore, the fetal deaths 
included in this report cover only those of twenty or more weeks of 
gestation. 

EXPLANATORY NOTES ON POPULATION ESTIMATION 

The 1989 population estimates are based upon the final population 
counts from 1990 census of population (the modified age, race, sex 
files) as released by the U.S. Bureau of the Census. The July 1, 1989 
population estimates were prepared by subtracting form the 1990 census 
population 3/40ths of the change between 1980 and 1990 for each 
political subdivision. Age categories for each county were prepared 
by computing 3/40ths of the change between April 1, 1980 and April 1, 
1990 and subtracting this change for all race/sex five year age 
grouping within each county. 

Due to the change in methodology between 1989 and previous years, the 
1989 estimate is not directly comparable to earlier estimates. 
However, meaningful comparisons maybe made with the 1980 estimate. 



POPULATION 



25 



TABLE 1. ESTIMATED MARYLAND POPULATION BY RACE. REGION, AND 
POLITICAL SUBDIVISION, JULY 1, 1989, WITH COMPARABLE 1980 CENSUS FIGURES 





I 


Estimated Population, July 


1. 1989 


















Census 


Region and 


Total 


Whi 


i t e 


All Other Races 


(April 1, 


Political Subdivision 


Number 


Percent 


Number 


Percent 


1980) 


Maryland State 


4,739,110 


3,411,720 


72.0 


1,327,390 


28.0 


4,216,975 


Northwest Area 


371,700 


351,910 


94.7 


19,790 


5.3 


334,924 


Garrett 


28,010 


27,850 


99 4 


160 


0.6 


26,498 


Allegany 


75,370 


73,480 


97.5 


1,890 


2.5 


80,548 


Washington 


120,770 


112,660 


93.3 


8,110 


6.7 


113,086 


Frederick 


147,550 


137,920 


93.5 


9,630 


6.5 


114,792 


Baltimore Metro Area 


2,335,160 


1,678,310 


71.9 


656,850 


28.1 


2,174.023 


Baltimore City 


739,790 


293,410 


39.7 


446,380 


60.3 


786.775 


Baltimore County 


689,440 


589,580 


85.5 


99,860 


14.5 


655.615 


Anne Arundel 


423,020 


364,160 


86.1 


58,860 


13.9 


370,775 


Carroll 


121,340 


117,500 


96.8 


3,840 


3.2 


96,356 


Howard 


182,130 


152,570 


83.8 


29,560 


16.2 


118,572 


Harford 


179,440 


161,090 


89.8 


18,350 


10.2 


145,930 


National Capital Area 


1,468,120 


921,540 


62.8 


546,580 


37.2 


1,244,124 


Montgomery 


743,690 


591,140 


79.5 


152,550 


20.5 


579,053 


Prince George's 


724,430 


330,400 


45.6 


394,030 


54.4 


665,071 


Southern Area 


223,900 


183,830 


82.1 


40,070 


17.9 


167,284 


Calvert 


50,120 


41,690 


83.2 


8,430 


16.8 


34,638 


Charles 


99,050 


78,840 


79.6 


20,210 


20.4 


72,751 


Saint Mary's 


74,730 


63,300 


84.7 


11,430 


15.3 


59,895 


Eastern Shore Area 


340,230 


276,130 


81.2 


64,100 


18.8 


296,620 


Cecil 


70,550 


66,840 


94.7 


3,710 


5.3 


60,430 


Kent 


17,800 


14,140 


79.4 


3,660 


20.6 


16,695 


Queen Anne's 


33,330 


29,310 


87.9 


4,020 


12.1 


25,508 


Caroline 


26,760 


22,200 


83.0 


4,560 


17.0 


23,143 


Talbot 


30,170 


24,520 


81.3 


5,650 


18.7 


25,604 


Dorchester 


30,250 


21,580 


71.3 


8,670 


28.7 


30,623 


Wicomico 


73,590 


56,390 


76.6 


17,200 


23.4 


64,540 


Somerset 


23,080 


14,190 


61.5 


8,890 


38.5 


19,188 


Worcester 


34,700 


26,960 


77.7 


7,740 


22.3 


30,889 



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ANNUAL VITAL STATISTICS, MARYLAND, 1940-1989 



TABLE 6. BIRTHS AND BIRTH RATES BY RACE, MARYLAND, 1940 - 1989 



35 



Number of Births 









All 








Other 


Year 


Total 


White 


Races 


1940 


32,368 


25,438 


6,930 


1950 


55,992 


43,599 


12,393 


1960 


77,496 


60,093 


17,403 


1970 


69,336 


52,719 


16,617 


1979 


58,086 


39,167 


18,919 


1980 


59,833 


40,428 


19,405 


1981 


61,584 


41,347 


20,237 


1982 


63,759 


42,825 


20,934 


1983 


63,977 


42,969 


21,008 


1984 


65,264 


43,643 


21,621 


1985 


67,985 


45,396 


22,589 


1986 


69,524 


45,980 


23,544 


1987 


72,501 


47,299 


25,202 


1988 


76,414 


49,395 


27,019 


**1989 


78,225 


51,772 


26,453 





Birth Rates * 


All 
Other 


rotal 


White 


Races 


17.6 


16.6 


22.7 


23.7 


22.1 


31.7 


24.8 


23.2 


32.8 


17.6 


16.4 


22.6 


13.8 


12.5 


18.0 


14.2 


12.8 


18.3 


14.5 


13.0 


19.0 


14.9 


13.3 


19.8 


14.9 


13.3 


19.6 


15.0 


13.4 


19.7 


15.5 


13.9 


20.1 


15.6 


13.9 


20.5 


16.0 


13.3 


21.2 


16.5 


14.6 


21.9 


16.5 


15.2 


19.9 



Birth Rates are per 1 ,000 Population. 



1989 Births are by Race of Mother. 



TABLE 7. DEATHS AND DEATH RATES BY RACE, MARYLAND, 1 940 - 1 989 



Number of Deaths 









All 








Other 


Year 


Total 


White 


Races 


1940 


21,883 


16,943 


4,940 


1950 


22,450 


17,811 


4,639 


1960 


27,992 


22,447 


5,545 


1970 


32,790 


26,290 


6,500 


1979 


32,732 


25,867 


6,865 


1980 


34,025 


26,828 


7,197 


1981 


33,958 


26,706 


7,252 


1982 


34,094 


26,617 


7,477 


1983 


34,961 


27,338 


7,623 


1984 


35,331 


27,668 


7,663 


1985 


36,607 


28,493 


8,114 


1986 


37,321 


28,806 


8,515 


1987 


38,011 


29,140 


8,871 


1988 


38,637 


29,397 


9,240 


**1989 


38,310 


28,825 


9,485 



Total 



Death Rates * 






All 




Other 


White 


Races 


11.1 


16.2 


8.7 


10.5 


8.7 


10.5 


8.2 


8.8 


8.2 


6.5 


8.5 


6.8 


8.4 


6.8 


8.3 


7.1 


8.5 


7.1 


8.5 


7.0 


8.7 


7.2 


8.7 


7.4 


8.7 


7.4 


8.7 


7.5 


8.4 


7.1 



11.9 
9.0 
9.0 
8.3 

7.8 
8.1 
8.0 
8.0 
8.1 
8.1 
8.3 
8.4 
8.4 
8.4 
8.1 



* Birth Rates are per 1 ,000 Population. 



1989 Births are by Race of Mother. 



36 



TABLE 8. INFANT DEATHS AND INFANT MORALITY RATES BY RACE, 

MARYLAND, 1940 -1989 





Number of Infant Deaths 


Infant 


Mortality 


Rates * 








All 






All 








Other 






Other 


Year 


Total 


White 


Races 


Total 


White 


Races 


1940 


1,593 


1,062 


531 


49.2 


41.7 


76.6 


1950 


1,476 


965 


511 


26.4 


22.1 


41.2 


1960 


2,122 


1,341 


781 


27.4 


22.3 


44.9 


1970 


1,322 


841 


481 


19.1 


16.0 


28.9 


1979 


847 


447 


400 


14.6 


11.4 


21.1 


1980 


844 


462 


382 


14.1 


11.4 


19.7 


1981 


791 


440 


351 


12.8 


10.6 


17.3 


1982 


767 


386 


381 


12.0 


9.0 


18.2 


1983 


746 


383 


363 


11.7 


8.9 


17.3 


1984 


766 


427 


339 


11.7 


9.8 


15.7 


1985 


811 


410 


401 


11.9 


9.0 


17.8 


1986 


812 


434 


378 


11.7 


9.4 


16.1 


1987 


826 


409 


417 


11.4 


8.6 


16.6 


1988 


856 


415 


441 


11.2 


8.4 


16.3 


**1989 


811 


418 


393 


10.4 


8.3 


14.2 



Infant Mortality Rates are per 1 ,000 Live Births. 

Rates for 1 989 are per 1 ,000 Live Births by Race of Mother. 



TABLE 9. NEONATAL DEATHS AND NEONATAL MORALITY RATES BY RACE 

MARYLAND, 1940-1989 





Number 


of Neonatal Deaths 


Neonatal 


Mortality 


Rates * 








All 






All 








Other 






Other 


Year 


Total 


White 


Races 


Total 


White 


Races 


1940 


935 


654 


281 


28.9 


25.7 


40.5 


1950 


1,048 


726 


322 


18.7 


16.7 


26.0 


1960 


1,561 


1,043 


518 


20.1 


17.4 


29.8 


1970 


972 


638 


334 


14.0 


12.1 


20.1 


1979 


608 


324 


284 


10.5 


8.3 


15.0 


1980 


612 


333 


279 


10.2 


8.2 


14.4 


1981 


578 


323 


255 


9.4 


7.8 


12.6 


1982 


538 


268 


270 


8.4 


6.3 


12.9 


1983 


517 


261 


256 


8.1 


6.1 


12.2 


1984 


527 


294 


233 


8.1 


6.7 


10.8 


1985 


560 


274 


286 


8.2 


6.0 


12.7 


1986 


571 


295 


276 


8.2 


6.4 


11.7 


1987 


568 


274 


294 


7.8 


5.8 


11.7 


1988 


605 


286 


319 


7.9 


5.8 


11.8 


**1989 


510 


254 


256 


6.5 


5.0 


9.3 



* Neonatal Mortality Rates are per 1 ,000 Live Births. 
'* Rates for 1 989 are per 1 ,000 Live Births by Race of Mother. 



37 





TABLE 10. 


POSTNEONATAL DEATHS AND POSTNEONATAL 


MORALITY 








RATES BY RACE. 


MARYLAND, 


1940 -1989 








Postneonatal Deaths 






Postneonatal Mortality 


Rates * 








All 






All 








Other 










Other 


Year 


Total 


White 


Races 






Total 


White 


Races 


1940 


658 


408 


250 






20.3 


16.0 


36.1 


1950 


428 


239 


189 






7.7 


5.4 


15.2 


1960 


561 


298 


263 






7.2 


5.0 


15.1 


1970 


350 


203 


147 






5.0 


3.9 


8.8 


1979 


239 


123 


116 






4.1 


3.1 


4.4 


1980 


232 


129 


103 






3.9 


3.2 


5.3 


1981 


213 


117 


96 






3.5 


2.8 


4.7 


1982 


229 


118 


111 






3.6 


2.8 


5.3 


1983 


229 


122 


107 






3.6 


2.8 


5.1 


1984 


239 


133 


106 






3.7 


3.0 


4.9 


1985 


251 


136 


115 






3.7 


3.0 


5.1 


1986 


241 


139 


102 






3.5 


3.0 


4.3 


1987 


258 


135 


123 






3.6 


2.8 


4.9 


1988 


251 


129 


122 






3.3 


2.6 


4.5 


***1989 


301 


164 


137 






3.8 


3.2 


5.0 


* Postneonatal Mortality 


Rates are per 


1,000 Live Births. 












TABLE 11. FETAL DEATHS AND FETAL DEATH RATES BY RACE, 










MARYLAND, 


1940 


-1989 










Fetal Deaths 






Fetal Death Rates * 








All 










All 








Other 


Not 








Other 


Year 


Total 


White 


Races 


Stated** 


Total 


White 


Races 


1940 


1,352 


860 


492 




- 


40.1 


32.7 


66.3 


1950 


1,102 


728 


374 




- 


19.3 


16.4 


29.3 


1960 


1,224 


811 


413 




- 


15.2 


13.3 


23.2 


1970 


931 


628 


303 




- 


13.2 


11.8 


17.9 


1979 


520 


287 


233 




_ 


8.9 


7.3 


12.2 


1980 


494 


274 


220 




- 


8.2 


6.7 


11.2 


1981 


602 


352 


250 




- 


9.7 


8.4 


12.2 


1982 


512 


264 


248 




- 


8.0 


6.1 


11.7 


1983 


504 


293 


211 




- 


7.8 


6.8 


9.9 


1984 


516 


305 


211 




- 


7.8 


6.9 


9.7 


1985 


497 


255 


214 




28 


7.3 


5.6 


9.4 


1986 


622 


315 


277 




30 


8.9 


6.8 


11.6 


1987 


546 


281 


233 




32 


7.5 


5.9 


9.2 


1988 


453 


210 


203 




40 


5.9 


4.2 


7.5 


***1989 


456 


206 


213 




37 


5.8 


4.1 


7.7 



* Fetal Death Rates are per 1,000 Live Births (Live Births Plus Fetal Deaths). 
** Race not stated shown separately. Prior to 1985, Unknown Race included in White. 
*** Live Births by Race of Mother. 



38 



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BIRTHS 



41 



TABLE 14A. BIRTHS AND BIRTH RATES BY RACE OF MOTHER, R EGION, 
AND POLITICAL SUBDIVISION, MARYLAND, 1989. 



Area of 
Residence 



NUMBER OF BIRTHS 



Total 



White 



All 
Other 
Races 



BIRTH RATES * 



Total 



White 



All 
Other 
Races 



Maryland State 



78,225 



51,772 



26,453 



16.5 



15.2 



19.9 



Northwest Area 


5,184 


4,864 


320 


13.9 


13.8 


16.2 


Garrett 


389 


387 


2 


13.9 


13.9 


12.5 


Allegany 


870 


849 


21 


11.5 


11.6 


11.1 


Washington 


1,619 


1,541 


78 


13.4 


13.7 


9.6 


Frederick 


2,306 


2,087 


219 


15.6 


15.1 


22.7 


Baltimore Metro Area 


38,320 


25,210 


13.110 


16.4 


15.0 


20.0 


Baltimore City 


13,886 


4,322 


9,564 


18.8 


14.7 


21.4 


Baltimore County 


9,935 


8,251 


1,684 


14.4 


14.0 


16.9 


Anne Arundel 


6,736 


5,632 


1,104 


15.9 


15.5 


18.8 


Carroll 


2,012 


1,968 


44 


16.6 


16.7 


11.5 


Howard 


2,907 


2,514 


393 


16.0 


16.5 


13.3 


Harford 


2,844 


2,523 


321 


15.8 


15.7 


17.5 


National Capital Area 


25,602 


14,584 


11,018 


17.4 


15.8 


20.2 


Montgomery 


12,665 


9,396 


3,269 


17.0 


15.9 


21.4 


Prince George's 


12,937 


5,188 


7,749 


17.9 


15.7 


19.7 


Southern Area 


3,995 


3,171 


824 


17.8 


17.2 


20.6 


Calvert 


839 


655 


184 


16.7 


15.7 


21.8 


Charles 


1,754 


1,357 


397 


17.7 


17.2 


19.6 


Saint Mary's 


1,402 


1,159 


243 


18.8 


18.3 


21.3 


Eastern Shore Area 


5,124 


3,943 


1,181 


15.1 


14.3 


18.4 


Cecil 


1,183 


1,132 


51 


16.8 


16.9 


13.7 


Kent 


241 


181 


60 


13.5 


12.8 


16.4 


Queen Anne's 


480 


416 


64 


14.4 


14.2 


15.9 


Caroline 


393 


308 


85 


14.7 


13.9 


18.6 


Talbot 


408 


306 


102 


13.5 


12.5 


18.1 


Dorchester 


457 


276 


181 


15.1 


12.8 


20.9 


Wicomico 


1,134 


767 


367 


15.4 


13.6 


21.3 


Somerset 


268 


160 


108 


11.6 


11.3 


12.1 


Worcester 


560 


397 


163 


16.1 


14.7 


21.1 



Birth Rates are per 1,000 population. 



42 



TABLE 14B. BIRTHS AND BIRTH RATES BY RACE OF CHILD, REG ION, 
AND POLITICAL SUBDIVISION, MARYLAND, 1989. 



Area of 
Residence 



NUMBER OF BIRTHS 



Total 



White 



All 

Other 
Races 



BIRTH RATES * 



Total 



White 



All 

Other 
Races 



Maryland State 



78,225 



50,627 



27,598 



16.5 



14.8 



20.8 



Northwest Area 


5,184 


4,777 


407 


13.9 


13.6 


20.6 


Garrett 


389 


387 


2 


13.9 


13.9 


12.5 


Allegany 


870 


836 


34 


11.5 


11.4 


18.0 


Washington 


1,619 


1,502 


117 


13.4 


13.3 


14.4 


Frederick 


2,306 


2,052 


254 


15.6 


14.9 


26.4 


Baltimore Metro Area 


38,320 


24,701 


13,619 


16.4 


14.7 


20.7 


Baltimore City 


13,886 


4,147 


9,739 


18.8 


14.1 


21.8 


Baltimore County 


9,935 


8,122 


1,813 


14.4 


13.8 


18.2 


Anne Arundel 


6,736 


5,548 


1,188 


15.9 


15.2 


20.2 


Carroll 


2,012 


1,951 


61 


16.6 


16.6 


15.9 


Howard 


2,907 


2,464 


443 


16.0 


16.1 


15.0 


Harford 


2,844 


2,469 


375 


15.8 


15.3 


20.4 


National Capital Area 


25,602 


14,179 


1 1 ,423 


17.4 


15.4 


20.9 


Montgomery 


12,665 


9,197 


3,468 


17.0 


15.6 


22.7 


Prince George's 


12,937 


4,982 


7,955 


17.9 


15.1 


20.2 


Southern Area 


3,995 


3,106 


889 


17.8 


16.9 


22.2 


Calvert 


839 


643 


196 


16.7 


15.4 


23.3 


Charles 


1,754 


1,324 


430 


17.7 


16.8 


21.3 


Saint Mary's 


1,402 


1,139 


263 


18.8 


18.0 


23.0 


Eastern Shore Area 


5,124 


3,864 


1,260 


15.1 


14.0 


19.7 


Cecil 


1,183 


1,123 


60 


16.8 


16.8 


16.2 


Kent 


241 


177 


64 


13.5 


12.5 


17.5 


Queen Anne's 


480 


411 


69 


14.4 


14.0 


17.2 


Caroline 


393 


302 


91 


14.7 


13.6 


20.0 


Talbot 


408 


302 


106 


13.5 


12.3 


18.8 


Dorchester 


457 


268 


189 


15.1 


12.4 


21.8 


Wicomico 


1,134 


740 


394 


15.4 


13.1 


22.9 


Somerset 


268 


156 


112 


11.6 


11.0 


12.6 


Worcester 


560 


385 


175 


16.1 


14.3 


22.6 



* Birth Rates are per 1,000 Population. 



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53 



TABLE 21. BIRTHS BY MARITAL STATUS OF MOTHER, RACE OF MOTHER, REGION, 
AND POLITICAL SUBDIVISION, MARYLAND, 1989 







I 


RESIDENT BIRTHS TO UNMARRIED WOMEN 








Total Births 


Marital Status Unmarried 
All 


Marital Status Not 


Stated 








All 


All 


Area of 






Other 






Other 






Other 


Residence 


Total 


White 


Races 


Total 


White 


Races 


Total 


White 


Races 


Maryland State 


78,225 


51,772 


26,453 


22,599 


8,122 


14,477 


2,519 


1,495 


1,024 


Northwest Area 


5,184 


4,864 


320 


1,070 


917 


153 


160 


150 


10 


Garrett 


389 


387 


2 


75 


73 


2 


2 


2 


- 


Allegany 


870 


849 


21 


225 


214 


11 


3 


3 


- 


Washington 


1,619 


1,541 


78 


359 


327 


32 


118 


113 


5 


Frederick 


2,306 


2,087 


219 


411 


303 


108 


37 


32 


5 


Baltimore Metro Area 


38,320 


25,210 


13,110 


12,609 


4,068 


8,541 


1,609 


867 


742 


Baltimore City 


13,886 


4,322 


9,564 


8,256 


1,260 


6,996 


881 


247 


634 


Baltimore County 


9,935 


8,251 


1,684 


1,835 


1,131 


704 


400 


334 


66 


Anne Arundel 


6,736 


5,632 


1,104 


1,400 


841 


559 


154 


131 


23 


Carroll 


2,012 


1,968 


44 


289 


266 


23 


14 


14 


- 


Howard 


2,907 


2,514 


393 


314 


219 


95 


98 


91 


7 


Harford 


2,844 


2,523 


321 


515 


351 


164 


62 


50 


12 


National Capital Area 


25,602 


14,584 


11,018 


6,218 


1,811 


4,407 


496 


288 


208 


Montgomery 


12,665 


9,396 


3,269 


1,710 


840 


870 


315 


212 


103 


Prince George's 


12,937 


5,188 


7,749 


4,508 


971 


3,537 


181 


76 


105 


Southern Area 


3,995 


3,171 


824 


997 


502 


495 


84 


70 


14 


Calvert 


839 


655 


184 


207 


92 


115 


18 


12 


6 


Charles 


1,754 


1,357 


397 


467 


230 


237 


5 


5 


- 


Saint Marys 


1,402 


1,159 


243 


323 


180 


143 


61 


53 


8 


Eastern Shore Area 


5,124 


3,943 


1,181 


1,705 


824 


881 


170 


120 


50 


Cecil 


1,183 


1,132 


51 


333 


300 


33 


15 


14 


1 


Kent 


241 


181 


60 


77 


24 


53 


1 


- 


1 


Queen Anne's 


480 


416 


64 


118 


68 


50 


6 


5 


1 


Caroline 


393 


308 


85 


140 


77 


63 


9 


7 


2 


Talbot 


408 


306 


102 


125 


41 


84 


17 


14 


3 


Dorchester 


457 


276 


181 


207 


58 


149 


5 


3 


2 


Wicomico 


1,134 


767 


367 


384 


138 


246 


94 


65 


29 


Somerset 


268 


160 


108 


122 


46 


76 


7 


3 


4 


Worcester 


560 


397 


163 


199 


72 


127 


16 


9 


7 



54 



TABLE 22. BIRTHS BY MARITAL STATUS, AGE OF MOTHER, 
AND RACE OF MOTHER, MARYLAND, 1989 



Age of Mother 



Marital Status 


All 


Marital Status 


All 


Unmarried 


Other 


Not Stated 


Other 


Total White 


Races 


Total White 


Races 



All Ages 



22599 



8122 



14477 



2519 



1495 



1024 



Under 15 
15 - 17 
18 - 19 
20 - 24 
25 - 29 
30 - 34 
35 - 39 
40 - 44 
45 & Over 
Not Stated 



227 


43 


184 


5 


- 


5 


2629 


911 


1718 


138 


48 


90 


3875 


1514 


2361 


222 


93 


129 


8033 


2838 


5195 


730 


396 


334 


4733 


1629 


3104 


755 


498 


257 


2226 


789 


1437 


474 


332 


142 


654 


270 


384 


159 


104 


55 


112 


61 


51 


21 


15 


6 


3 


2 


1 


1 


1 


- 


107 


65 


42 


14 


8 


6 



TABLE 23. BIRTHS BY MARITAL STATUS OF MOTHER, BIRTH ORDER, 
AND RACE OF MOTHER, MARYLAND, 1989 



Birth Order 



Marital Status 


All 


Marital Status 


All 


Unmarried 


Other 


Not Stated 


Other 


Total White 


Races 


Total White 


Races 



Total 



22599 



8122 



14477 



2519 



1495 



1024 



First Child 


10983 


4558 


6425 


793 


486 


307 


Second 


5077 


1601 


3476 


473 


277 


196 


Third 


2567 


725 


1842 


259 


131 


128 


Fourth 


1053 


259 


794 


95 


39 


56 


Fifth 


414 


91 


323 


34 


16 


18 


Sixth 


140 


39 


101 


8 


3 


5 


Seventh 


61 


13 


48 


7 


1 


6 


Eight or more 


63 


8 


55 


7 


3 


4 


Not Stated 


2241 


828 


1413 


843 


539 


304 



Based on current live birth plus all previous live births to the mother. 



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56 



TABLE 25. BIRTHS BY PLURALITY, AGE OF MOTHER, 
AND RACE OF MOTHER, MARYLAND, 1989 











Ratio of 










Plural Births 


Age of Mother 




Single 


Plural 


Per 1,000 


and Race 


Total 


Births 


Births 


Total Births 


All Births 


78,225 


76,298 


1,927 


24.6 


Under 15 


241 


239 


2 


8.3 


15 - 17 


3,036 


2,988 


48 


15.8 


18 - 19 


5,284 


5,196 


88 


16.7 


20 - 24 


18,508 


18,137 


371 


20.0 


25 - 29 


25,054 


24,461 


593 


23.7 


30 - 34 


18,351 


17,769 


582 


31.7 


35 - 39 


6,575 


6,357 


218 


33.2 


40 - 44 


940 


927 


13 


13.8 


45 & Over 


41 


39 


2 


48.8 


Not Stated 


195 


185 


10 


51.3 


White 


51,772 


50,524 


1,248 


24.1 


Under 15 


49 


47 


2 


40.8 


15 - 17 


1,187 


1,174 


13 


11.0 


18 - 19 


2,572 


2,543 


29 


11.3 


20 - 24 


10,805 


10,635 


170 


15.7 


25 - 29 


17,537 


17,134 


403 


23.0 


30 - 34 


13,802 


13,366 


436 


31.6 


35 - 39 


4,953 


4,778 


175 


35.3 


40 - 44 


709 


697 


12 


16.9 


45 & Over 


31 


29 


2 


64.5 


Not Stated 


127 


121 


6 


47.2 


All Other Races 


26,453 


25,774 


679 


25.7 


Under 15 


192 


192 








15 - 17 


1,849 


1,814 


35 


18.9 


18 - 19 


2,712 


2,653 


59 


21.8 


20 - 24 


7,703 


7,502 


201 


26.1 


25 - 29 


7,517 


7,327 


190 


25.3 


30 - 34 


4,549 


4,403 


146 


32.1 


35 - 39 


1,622 


1,579 


43 


26.5 


40 - 44 


231 


230 


1 


4.3 


45 & Over 


10 


10 


— 


— 


Not Stated 


68 


64 


4 


58.8 



57 



TABLE 26. BIRTHS BY PLURALITY, LENGTH OF PREGNANCY. 
AND RACE OF MOTHER, MARYLAND, 1989 



Length of Pregnancy 

(Weeks) Total 







Ratio of 






Plural Births 


Single 


Plural 


Per 1,000 


Births 


Births 


Total Births 



67 


67 


- 


- 


850 


719 


131 


154.1 


1,028 


917 


111 


108.0 


3,938 


3,501 


437 


111.0 


2,845 


2,622 


223 


78.4 


28,081 


27,438 


643 


22.9 


14,695 


14,580 


115 


7.8 


10,203 


10,146 


57 


5.6 


9,497 


9,452 


45 


4.7 


7,021 


6,857 


164 


23.4 



All Births 78,225 76,299 1,926 24.6 

Under 20 
20 - 27 
28 - 31 
32- 35 
36 

37 - 39 
40 
41 

42 or More 
Not Stated 

White 51,772 50,525 1,247 24.1 

Under 20 
20 - 27 
28 - 31 
32- 35 
36 

37 - 39 
40 
41 

42 or More 
Not Stated 

All Other Races 26,453 25,774 679 25.7 

Under 20 
20- 27 
28 - 31 
32- 35 
36 

37 - 39 
40 
41 

42 or More 
Not Stated 



30 


30 


- 


- 


363 


296 


67 


184.6 


438 


374 


64 


146.1 


2,003 


1,704 


299 


149.3 


1,603 


1,450 


153 


95.4 


18,372 


17,942 


430 


23.4 


10,645 


10,554 


91 


8.5 


7,589 


7,561 


28 


3.7 


6,646 


6,611 


35 


5.3 


4,083 


4,003 


80 


19.6 



37 


37 


- 


- 


487 


423 


64 


131.4 


590 


543 


47 


79.7 


1,935 


1,797 


138 


71.3 


1,242 


1,172 


70 


56.4 


9,709 


9,496 


213 


21.9 


4,050 


4,026 


24 


5.9 


2,614 


2,585 


29 


11.1 


2,851 


2,841 


10 


3.5 


2,938 


2,854 


84 


28.6 



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59 



TABLE 28. BIRTHS BY PLACE OF RESIDENCE AND OCCURRENCE, BY RACE OF 
MOTHER, REGION, AND POLITICAL SUBDIVISION. MARYLAND, 1989 



Birth by Area 
of Mother's Residence 



Births in Maryland 
By Area of Birth 



Area of 
Residence 



Total 



White 



All 

Other 

Races 



Total 



White 



All 

Other 

Races 



Maryland State 



78,225 



51,772 



26,453 



70,866 



47,429 



23,437 



Northwest Area 


5,184 


4,864 


320 


5,052 


4,701 


351 


Garrett 


389 


387 


2 


383 


381 


2 


Allegany 


870 


849 


21 


1,316 


1,276 


40 


Washington 


1,619 


1,541 


78 


1,499 


1,407 


92 


Frederick 


2,306 


2,087 


219 


1,854 


1,637 


217 


Baltimore Metro Area 


38,320 


25,210 


13,110 


37,970 


24,483 


13,487 


Baltimore City 


13,886 


4,322 


9,564 


20,774 


9,829 


10,945 


Baltimore County 


9,935 


8,251 


1,684 


10,680 


9,126 


1,554 


Anne Arundel 


6,736 


5,632 


1,104 


2,884 


2,425 


459 


Carroll 


2,012 


1,968 


44 


464 


443 


21 


Howard 


2,907 


2,514 


393 


2,413 


2,048 


365 


Harford 


2,844 


2,523 


321 


755 


612 


143 


National Capital Area 


25,602 


14,584 


11,018 


21,268 


13,483 


7,785 


Montgomery 


12,665 


9,396 


3,269 


15,490 


10,745 


4,745 


Prince George's 


12,937 


5,188 


7,749 


5,778 


2,738 


3,040 


Southern Area 


3,995 


3,171 


824 


2,372 


1,758 


614 


Calvert 


839 


655 


184 


696 


528 


168 


Charles 


1,754 


1,357 


397 


524 


309 


215 


Saint Mary's 


1,402 


1,159 


243 


1,152 


921 


231 


Eastern Shore Area 


5,124 


3,943 


1,181 


4,204 


3,004 


1,200 


Cecil 


1,183 


1,132 


51 


440 


403 


37 


Kent 


241 


181 


60 


211 


148 


63 


Queen Anne's 


480 


416 


64 


4 


3 


1 


Caroline 


393 


308 


85 


1 


1 


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408 


306 


102 


1,020 


774 


246 


Dorchester 


457 


276 


181 


317 


152 


165 


Wicomico 


1,134 


767 


367 


2,207 


1,521 


686 


Somerset 


268 


160 


108 


2 


1 


1 


Worcester 


560 


397 


163 


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63 



TABLE 30. DEATHS AND DEATH RATES BY RACE, REGION, 
AND POLITICAL SUBDIVISION, MARYLAND. 1 989 





NUMBER OF DEATHS 


DEATH RATES * 










All 






All 


Area of 






Other 






Other 


Residence 


Total 


White 


Races 


Total 


White 


Races 


Maryland State 


38,310 


28,825 


9,485 


8.1 


8.4 


7.1 


Northwest Area 


3,235 


3,131 


104 


8.7 


8.9 


5.3 


Garrett 


256 


254 


2 


9.1 


9.1 


12.5 


Allegany 


944 


929 


15 


12.5 


12.6 


7.9 


Washington 


1,107 


1,076 


31 


9.2 


9.6 


3.8 


Frederick 


928 


872 


56 


6.3 


6.3 


5.8 


Baltimore Metro Area 


21,394 


15,293 


6,101 


9.2 


9.1 


9.3 


Baltimore City 


9,681 


4,625 


5,056 


13.1 


15.8 


11.3 


Baltimore County 


6,218 


5,748 


470 


9.0 


9.7 


4.7 


Anne Arundel 


2,783 


2,430 


353 


6.6 


6.7 


6.0 


Carroll 


828 


805 


23 


6.8 


6.9 


6.0 


Howard 


746 


652 


94 


4.1 


4.3 


3.2 


Harford 


1,138 


1,033 


105 


6.3 


6.4 


5.7 


National Capital Area 


8,897 


6,610 


2,287 


6.1 


7.2 


4.2 


Montgomery 


4,422 


3,924 


498 


5.9 


6.6 


3.3 


Prince George's 


4,475 


2,686 


1,789 


6.2 


8.1 


4.5 


Southern Area 


1,362 


1,057 


305 


6.1 


5.7 


7.6 


Calvert 


326 


258 


68 


6.5 


6.2 


8.1 


Charles 


553 


420 


133 


5.6 


5.3 


6.6 


Saint Mary's 


483 


379 


104 


6.5 


6.0 


9.1 


Eastern Shore Area 


3,422 


2,734 


688 


10.1 


9.9 


10.7 


Cecil 


549 


522 


27 


7.8 


7.8 


7.3 


Kent 


240 


175 


65 


13.5 


12.4 


17.8 


Queen Anne's 


261 


212 


49 


7.8 


7.2 


12.2 


Caroline 


250 


211 


39 


9.3 


9.5 


8.6 


Talbot 


386 


305 


81 


12.8 


12.4 


14.3 


Dorchester 


386 


268 


118 


12.8 


12.4 


13.6 


Wicomico 


726 


569 


157 


9.9 


10.1 


9.1 


Somerset 


240 


172 


68 


10.4 


12.1 


7.6 


Worcester 


384 


300 


84 


11.1 


11.1 


10.9 



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TABLE 41. DEATHS BY PLACE OF RESIDENCE AND OCCURRENCE, 
RACE, REGION, AND POLITICAL SUBDIVISION, MARYLAND, 1989. 



De aths by Area of Residence 



Deaths in 
Maryland by Area of Death 



Area of 
Residence 



Total 



White 



All 

Other 

Races 



Total 



White 



All 

Other 

Races 



Maryland State 



38,310 



28,825 



9,485 



37,641 



28,590 



9,051 



Northwest Area 


3,235 


3,131 


104 


3,372 


3,249 


123 


Garrett 


256 


254 


2 


232 


229 


3 


Allegany 


944 


929 


15 


1,135 


1,116 


19 


Washington 


1,107 


1,076 


31 


1,135 


1,086 


49 


Frederick 


928 


872 


56 


870 


818 


52 


Baltimore Metro Area 


21,394 


15,293 


6,101 


21,563 


15,403 


6,160 


Baltimore City 


9,681 


4,625 


5,056 


11,796 


6,532 


5,264 


Baltimore County 


6,218 


5,748 


470 


5,394 


4,940 


454 


Anne Arundel 


2,783 


2,430 


353 


2,195 


1,925 


270 


Carroll 


828 


805 


23 


626 


607 


19 


Howard 


746 


652 


94 


549 


480 


69 


Harford 


1,138 


1,033 


105 


1,003 


919 


84 


National Capital Area 


8,897 


6,610 


2,287 


8,216 


6,369 


1,847 


Montgomery 


4,422 


3,924 


498 


4,673 


4,058 


615 


Prince George's 


4,475 


2,686 


1,789 


3,543 


2,311 


1,232 


Southern Area 


1,362 


1,057 


305 


1,101 


865 


236 


Calvert 


326 


258 


68 


286 


231 


55 


Charles 


553 


420 


133 


415 


313 


102 


Saint Mary's 


483 


379 


104 


400 


321 


79 


Eastern Shore Area 


3,422 


2,734 


688 


3,389 


2,704 


685 


Cecil 


549 


522 


27 


533 


476 


57 


Kent 


240 


175 


65 


210 


168 


42 


Queen Anne's 


261 


212 


49 


115 


93 


22 


Caroline 


250 


211 


39 


104 


88 


16 


Talbot 


386 


305 


81 


571 


455 


116 


Dorchester 


386 


268 


118 


288 


204 


84 


Wicomico 


726 


569 


157 


1,247 


966 


281 


Somerset 


240 


172 


68 


111 


81 


30 


Worcester 


384 


300 


84 


210 


173 


37 



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FETAL AND INFANT DEATHS 



87 



TABLE 43. FETAL DEATHS AND FETAL DEATH RATES BY RACE, 
REGION, AND POLITICAL SUBDIVISION. MARYLAND, 1989 





NUMBER OF FETAL DEATHS 


FETAL DEATH RATES • 








All 








All 


Area of 






Other 


Not 






Other 


Residence 


Total 


White 


Races 


Stated 


Total** 


White 


Races 


Maryland State 


456 


206 


213 


37 


5.8 


4.0 


8.0 


Northwest Area 


31 


26 


3 


2 


5.9 


5.3 


9.3 


Garrett 


- 


— 


— 


— 


_ 








Allegany 


6 


6 


— 


— 


6.8 


7.0 





Washington 


13 


11 


- 


2 


8.0 


7.1 


_ 


Frederick 


12 


9 


3 


- 


5.2 


4.3 


13.5 


Baltimore Metro Area 


268 


109 


136 


23 


6.9 


4.3 


10.3 


Baltimore City 


159 


34 


113 


12 


11.3 


7.8 


11.7 


Baltimore County 


39 


26 


7 


6 


3.9 


3.1 


4.1 


Anne Arundel 


35 


25 


9 


1 


5.2 


4.4 


8.1 


Carroll 


5 


4 


- 


1 


2.5 


2.0 


_ 


Howard 


17 


10 


4 


3 


5.8 


4.0 


10.1 


Harford 


13 


10 


3 


- 


4.6 


3.9 


9.3 


National Capital Area 


121 


52 


59 


10 


4.7 


3.6 


5.3 


Montgomery 


52 


33 


16 


3 


4.1 


3.5 


4.9 


Prince George's 


69 


19 


43 


7 


5.3 


3.6 


5.5 


Southern Area 


12 


6 


5 


1 


3.0 


1.9 


6.0 


Calvert 


2 


- 


2 


— 


2.4 


— 


10.8 


Charles 


4 


2 


1 


1 


2.3 


1.5 


2.5 


Saint Mary's 


6 


4 


2 


- 


4.3 


3.4 


8.2 


Eastern Shore Area 


24 


13 


10 


1 


4.7 


3.3 


8.4 


Cecil 


3 


3 


— 


— 


2.5 


2.6 


— 


Kent 


— 


— 


— 


— 


— 


— 


— 


Queen Anne's 


4 


2 


2 


— 


8.3 


4.8 


30.3 


Caroline 


2 


1 


1 


— 


5.1 


3.2 


11.6 


Talbot 


3 


1 


2 


— 


7.3 


3.3 


19.2 


Dorchester 


6 


3 


3 


— 


13.0 


10.8 


16.3 


Wicomico 


3 


2 


1 


— 


2.6 


2.6 


2.7 


Somerset 


3 


1 


1 


1 


11.1 


6.2 


9.2 


Worcester 


- 


- 


- 


- 


- 


- 


- 



* Fetal Death Rates are per 1 ,000 Total Deliveries (Live Births Plus Fetal Deaths) by Race of Mother. 
** Fetal Death Rate Includes Fetal Deaths of Unknown Race. 



88 



TABLE 44. INFANT DEATHS AND INFANT MORTALITY RATES BY RACE, 
REGION, AND POLITICAL SUBDIVISION, 1989. 





NUMBER OF INFANT DEATHS 

All 


INFANT MORTALITY RATES * 






All 


Area of 






Other 




Other 


Residence 


Total 


White 


Races 


Total White 


Races 


Maryland State 


811 


418 


393 


10.4 8.1 


14.9 


Northwest Area 


33 


29 


4 


6.4 6.0 


12.5 


Garrett 


4 


4 


- 


10.3 10.3 


— 


Allegany 


6 


6 


- 


6.9 7.1 


- 


Washington 


13 


12 


1 


8.0 7.8 


12.8 


Frederick 


10 


7 


3 


4.3 3.4 


13.7 


Baltimore Metro Area 


423 


204 


219 


11.0 8.1 


16.7 


Baltimore City 


196 


32 


164 


14.1 7.4 


17.1 


Baltimore County 


99 


75 


24 


10.0 9.1 


14.3 


Anne Arundel 


67 


45 


22 


9.9 8.0 


19.9 


Carroll 


19 


18 


1 


9.4 9.1 


22.7 


Howard 


14 


11 


3 


4.8 4.4 


7.6 


Harford 


28 


23 


5 


9.8 9.1 


15.6 


National Capital Area 


264 


119 


145 


10.3 8.2 


13.2 


Montgomery 


98 


67 


31 


7.7 7.1 


9.5 


Prince George's 


166 


52 


114 


12.8 10.0 


14.7 


Southern Area 


40 


31 


9 


10.0 9.8 


10.9 


Calvert 


5 


4 


1 


6.0 6.1 


5.4 


Charles 


17 


13 


4 


9.7 9.6 


10.1 


Saint Mary's 


18 


14 


4 


12.8 12.1 


16.5 


Eastern Shore Area 


51 


35 


16 


10.0 8.9 


13.5 


Cecil 


10 


10 


— 


8.5 8.8 


— 


Kent 


2 


1 


1 


8.3 5.5 


16.7 


Queen Anne's 


2 


2 


— 


4.2 4.8 


— 


Caroline 


6 


5 


1 


15.3 16.2 


11.8 


Talbot 


5 


1 


4 


12.3 3.3 


39.2 


Dorchester 


2 


2 


— 


4.4 7.2 


— 


Wicomico 


13 


8 


5 


11.5 10.4 


13.6 


Somerset 


4 


2 


2 


14.9 12.5 


18.5 


Worcester 


7 


4 


3 


12.5 10.1 


18.4 



Infant Mortality Rates are per 1 ,000 Live Births by Race of Mother. 






89 



TABLE 45. NEONATAL DEATHS, NEONATAL MORTALITY RATES. AND PERINATAL 
DEATH RATES, BY RACE, REGION, AND POLITICAL SUBDIVISION, 1989. 



Area of 
Residence 



Maryland State 



Number of Neonatal Mortality 

Neonatal Deaths Rates * 



Perinatal Death 
Rates ** 



AH All All 

Other Other Other 

Total White Races Total White Races Total White Races 



510 254 



256 



6.5 



4.9 



9.7 12.3 



8.8 17.6 



Northwest Area 


22 


19 


3 


4.2 


3.9 


9.4 


10.2 


9.2 


18.6 


Garrett 


3 


3 


- 


7.7 


7.8 


— 


7.7 


7.8 





Allegany 


3 


3 


- 


3.4 


3.5 


— 


10.3 


10.5 


_ 


Washington 


10 


9 


1 


6.2 


5.8 


12.8 


14.1 


12.9 


12.8 


Frederick 


6 


4 


2 


2.6 


1.9 


9.1 


7.8 


6.2 


22.5 


Baltimore Metro Area 


255 


119 


136 


6.7 


4.7 


10.4 


13.6 


9.0 


20.5 


Baltimore City 


116 


17 


99 


8.4 


3.9 


10.4 


19.6 


11.7 


21.9 


Baltimore County 


60 


46 


14 


6.0 


5.6 


8.3 


9.9 


8.7 


12.4 


Anne Arundel 


44 


27 


17 


6.5 


4.8 


15.4 


11.7 


9.2 


23.4 


Carroll 


10 


9 


1 


5.0 


4.6 


22.7 


7.4 


6.6 


22.7 


Howard 


10 


7 


3 


3.4 


2.8 


7.6 


9.2 


6.7 


17.6 


Harford 


15 


13 


2 


5.3 


5.2 


6.2 


9.8 


9.1 


15.4 


National Capital Area 


175 


77 


98 


6.8 


5.3 


8.9 


11.5 


8.8 


14.2 


Montgomery 


68 


47 


21 


5.4 


5.0 


6.4 


9.4 


8.5 


11.3 


Prince George's 


107 


30 


77 


8.3 


5.8 


9.9 


13.5 


9.4 


15.4 


Southern Area 


21 


16 


5 


5.3 


5.0 


6.1 


8.2 


6.9 


12.1 


Calvert 


3 


3 


- 


3.6 


4.6 


— 


5.9 


4.6 


10.8 


Charles 


7 


4 


3 


4.0 


2.9 


7.6 


6.3 


4.4 


10.1 


Saint Mary's 


11 


9 


2 


7.8 


7.8 


8.2 


12.1 


11.2 


16.3 


Eastern Shore Area 


37 


23 


14 


7.2 


5.8 


11.9 


11.8 


9.1 


20.2 


Cecil 


4 


4 


- 


3.4 


3.5 


- 


5.9 


6.2 


- 


Kent 


2 


1 


1 


8.3 


5.5 


16.7 


8.3 


5.5 


16.7 


Queen Anne's 


1 


1 


- 


2.1 


2.4 


- 


10.3 


7.2 


30.3 


Caroline 


4 


4 


— 


10.2 


13.0 


— 


15.2 


16.2 


11.6 


Talbot 


4 


- 


4 


9.8 


- 


39.2 


17.0 


3.3 


57.7 


Dorchester 


2 


2 


-' 


4.4 


7.2 


- 


17.3 


17.9 


16.3 


Wicomico 


9 


5 


4 


7.9 


6.5 


10.9 


10.6 


9.1 


13.6 


Somerset 


4 


2 


2 


14.9 


12.5 


18.5 


25.8 


18.6 


27.5 


Worcester 


7 


4 


3 


12.5 


10.1 


18.4 


12.5 


10.1 


18.4 



* Infant Mortality Rates are per 1,000 Live Births by Race of Mother. 
** Perinatal Deaths include Neonatal and Fetal Deaths. 

Perinatal Death Rates are per 1,000 Total Deliveries (Live Births plus Fetal Deaths). 



MARRIAGES 



93 



TABLE 46. MARRIAGES BY RESIDENT STATUS AND TYPE OF CEREMONY. 
BY REGION, AND POLITICAL SUBDIVISION OF OCCURRENCE, 1989. 



Area of 
Residence 



MARRIAGES * BY RESIDENCE 

Non-Residents *** 
Maryland ** 
Total Residents Number Percent 



TYPE OF CEREMONY 
Civil 



Religious Number Percent 



Maryland State 



46,247 



38,204 



8,043 



17.4 



29,843 16,404 



35.5 



Northwest Area 


4,756 


3,178 


1,578 


33.2 


2,648 


2,108 


44.3 


Garrett 


721 


266 


455 


63.1 


307 


414 


57.4 


Allegany 


893 


621 


272 


30.5 


572 


321 


35.9 


Washington 


1,726 


1,074 


652 


37.8 


868 


858 


49.7 


Frederick 


1,416 


1,217 


199 


14.1 


901 


515 


36.4 


Baltimore Metro Area 


20,902 


19,344 


1,558 


7.5 


14,587 


6.315 


30.2 


Baltimore City 


6,759 


6,434 


325 


4.8 


4,695 


2,064 


30.5 


Baltimore County 


5,905 


5,571 


334 


5.7 


4,310 


1,595 


27.0 


Anne Arundel 


3,963 


3,562 


401 


10.1 


2,961 


1,002 


25.3 


Carroll 


1,154 


970 


184 


15.9 


724 


430 


37.3 


Howard 


1,544 


1,473 


71 


4.6 


955 


589 


38.1 


Harford 


1,577 


1,334 


243 


15.4 


942 


635 


40.3 


National Capital Area 


12,473 


10,633 


1,840 


14.8 


7,959 


4,514 


36.2 


Montgomery 


6,845 


5,551 


1,294 


18.9 


4,418 


2,427 


35.5 


Prince George's 


5,628 


5,082 


546 


9.7 


3,541 


2,087 


37.1 


Southern Area 


1,946 


1,847 


99 


5.1 


1,191 


755 


38.8 


Calvert 


399 


380 


19 


4.8 


286 


113 


28.3 


Charles 


892 


846 


46 


5.2 


506 


386 


43.3 


Saint Mary's 


655 


621 


34 


5.2 


399 


256 


39.1 


Eastern Shore Area 


6,170 


3,202 


2,968 


48.1 


3,458 


2,712 


44.0 


Cecil 


3,247 


777 


2,470 


76.1 


1,366 


1,881 


57.9 


Kent 


185 


146 


39 


21.1 


128 


57 


30.8 


Queen Anne's 


256 


246 


10 


3.9 


201 


55 


21.5 


Caroline 


286 


213 


73 


25.5 


210 


76 


26.6 


Talbot 


388 


322 


66 


17.0 


298 


90 


23.2 


Dorchester 


306 


288 


18 


5.9 


240 


66 


21.6 


Wicomico 


760 


647 


113 


14.9 


518 


242 


31.8 


Somerset 


195 


178 


17 


8.7 


148 


47 


24.1 


Worcester 


547 


385 


162 


29.6 


349 


198 


36.2 



* Marriages refer to the Number of Ceremonies Performed in Maryland Areas 

- Not the Number of Persons Married. 
** One or Both Partners were Residents of Maryland. 
*** Both Partners were Non-residents of Maryland. 



94 



TABLE 47. MARRIAGES BY AGE AND PREVIOUS MARITAL STATUS OF BRIDE, 
MARYLAND, 1989 





All 


Ape of Bride 


Marriages 


Total Marriages 


46,247 


Under 15 


18 


15 - 17 


817 


18 - 19 


3,135 


20 - 21 


4,493 


22 - 24 


8,725 


25 - 29 


11,773 


30 - 34 


6,945 


35 - 39 


4,251 


40 - 44 


2,724 


45 - 54 


2,173 


55 and Over 


1,149 


Unknown 


44 



PREVIOUS MARITAL STATUS OF BRIDE 
Never 
Married Widowed Divorced Not Stated 



30,704 



1,413 



14,072 



58 



17 


- 


1 


— 


814 


- 


3 


— 


3,100 


- 


33 


2 


4,329 


4 


156 


4 


7,877 


19 


815 


14 


8,913 


67 


2,778 


15 


3,558 


116 


3,265 


6 


1,260 


137 


2,845 


9 


468 


162 


2,092 


2 


229 


315 


1,627 


2 


108 


593 


444 


4 


31 


— 


13 


— 



TABLE 48. MARRIAGES BY AGE AND PREVIOUS MARITAL STATUS OF GROOM, 

MARYLAND, 1989 



Age of Groom 



All 
Marriages 



PREVIOUS MARITAL STATUS OF GROOM 
Never 
Married Widowed Divorced Not Stated 



Total Marriages 



46,247 



30,636 



1,316 



14,263 



32 



Under 15 
15 - 17 
18 - 19 
20 - 21 
22 - 24 
25 - 29 
30 - 34 
35 - 39 
40 - 44 
45 - 54 
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129 
1,326 
3,065 
7,579 
12,797 
7,835 
4,815 
3,256 
3,251 
2,174 
20 



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37 


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7,246 


3 


324 


6 


10,971 


11 


1,811 


4 


4,965 


43 


2,823 


4 


1,767 


57 


2,985 


6 


617 


81 


2,554 


4 


375 


240 


2,634 


2 


202 


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97 



TABLE 50. MARRIAGES BY PREVIOUS MARITAL STATUS AND RESIDENCE OF BRIDE, 
MARYLAND, 1989 



PREVIOUS MARITAL STATUS OF BRIDE 



Resident Status 
of Bride 



Total Marriages 



Never Not 

Marriages Married Widowed Divorced Stated 



46,247 



30,704 



1,413 



14,072 



58 



Resident Bride 
Resident Groom 
Nonresident Groom 

Nonresident Bride 
Resident Groom 
Nonresident Groom 



36,891 


24,912 


1,075 


10,863 


41 


34,355 


23,010 


994 


10,311 


40 


2,536 


1,902 


81 


552 


1 


9,356 


5,792 


338 


3,209 


17 


1,313 


873 


45 


392 


3 


8,043 


4,919 


293 


2,817 


14 



TABLE 51. MARRIAGES BY PREVIOUS MARITAL STATUS AND RESIDENCE OF GROOM, 
MARYLAND, 1989 

PREVIOUS MARITAL STATUS OF GROOM 



Resident Status 
of Groom 



Never Not 

Marriages Married Widowed Divorced Stated 



Total Marriages 



46,247 



30,636 



1,316 



14,263 



32 



Resident Groom 
Resident Bride 
Nonresident Bride 

Nonresident Groom 
Resident Bride 
Nonresident Bride 



35,668 


23,908 


949 


10,788 


23 


34,355 


23,057 


885 


10,391 


22 


1,313 


851 


64 


397 


1 


10,579 


6,728 


367 


3,475 


9 


2,536 


1,870 


75 


585 


6 


8,043 


4,858 


292 


2,890 


3 



98 



TABLE 52. MARRIAGES BY PREVIOUS MARITAL STATUS OF BRIDE AND GROOM 

BY TYPE OF CEREMONY 
MARYLAND, 1989 







PREVIOUS MARITAL STATUS OF BRIDE 


Type of Ceremony and 












Previous Marital 




Never 






Not 




Status of Groom 


Marriages 


Married 


Widowed 


Divorced 


Stated 


Total Marriages 


46,247 


30,704 


1,413 


14,072 




58 


Never Married 


30,636 


25,049 


290 


5,271 




26 


Widowed 


1,316 


194 


501 


621 




- 


Divorced 


14,263 


5,450 


621 


8,177 




15 


Not Stated & Other 


32 


11 


1 


3 




17 


Religious Ceremonies 


29,843 


21,098 


883 


7,829 




33 


Never Married 


20,954 


17,705 


152 


3,080 




17 


Widowed 


842 


107 


374 


361 




- 


Divorced 


8,030 


3,277 


357 


4,386 




10 


Not Stated & Other 


17 


9 


— 


2 




6 


Civil Ceremonies 


16,404 


9,606 


530 


6,243 




25 


Never Married 


9,682 


7,344 


138 


2,191 




9 


Widowed 


474 


87 


127 


260 




- 


Divorced 


6,233 


2,173 


264 


3,791 




5 


Not Stated & Other 


15 


2 


1 


1 




11 



TABLE 53. MARRIAGES BY PLACE OF RESIDENCE OF BRIDE AND GROOM 

MARYLAND, 1989 



Place of Residence 



Bride 



Total 



Maryland 



46,247 



36,891 



Groom 



46,247 
35,668 



Pennsylvania 

Delaware 

Virginia 

West Virginia 

District of Columbia 

New Jersey 

New York 

Ohio 

Florida 



2,979 
818 

1,161 
666 
849 
829 
312 
122 
176 



3,059 
868 

1,315 
699 
899 
884 
386 
148 
291 



Other States 
Foreign Countries 
Not Stated 



1,260 
184 



1,815 
215 



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103 



TABLE 57. ABSOLUTE DIVORCES AND ANNULMENTS BY AGE OF HUSBAND 
AND WIFE AT TIME OF DECREE, MARYLAND. 1989 



Age at Time 
of Decree Husband Wife 

Total Decrees 16,404 16,404 

Under 20 years 10 65 

20 - 24 years 817 1,586 

25 - 29 years 2,798 3,585 

30 - 34 years 3,516 3,468 

35 - 39 years 2,962 2,847 

40 - 44 years 2,496 2,133 

45 -49 years 1,624 1,285 

50 - 54 years 913 615 

55 - 59 years 518 296 

60 - 64 years 270 171 

65 years and over 235 93 

Not Stated 245 260 



104 



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COMPARATIVE VITAL STATISTICS 



107 



TABLE 60. SELECTED NATALITY DATA BY RACE 
FOR MARYLAND AND THE UNITED STATES, 1979 - 1989 



BIRTH 



Total 



RATES* 
White 



All Other Races 



Year 


Maryland 


1979 


13.8 


1980 


14.2 


1981 


14.5 


1982 


14.9 


1983 


15.0 


1984 


15.0 


1985 


15.5 


1986 


15.6 


1987 


16.0 


1988 


16.5 


1989 


16.5 



United States Maryland United States Maryland United States 



15.9 
15.9 
15.8 
15.9 
15.5 
15.5 
15.8 
15.6 
15.7 
15.9 
16.3 



12.5 
12.8 
13.0 
13.3 
13.3 
13.4 
13.9 
13.9 
13.3 
14.6 
15.2 



14.8 
14.9 
14.8 
14.9 
14.6 
14.5 
14.8 
14.5 
14.5 
14.7 
15.0 



18.0 
18.3 
19.0 
19.8 
19.6 
19.7 
20.1 
20.5 
21.2 
21.9 
19.9 



22.8 
225 
22.0 
21.9 
21.3 
21.2 
21.4 
21.4 
21.7 
22.5 
23.1 



Total 



FERTILITY RATES** 
White 



All Other Races 



Year 


Maryland 


1979 


56.1 


1980 


57.4 


1981 


58.4 


1982 


60.6 


1983 


60.3 


1984 


60.5 


1985 


62.1 


1986 


62.3 


1987 


63.8 


1988 


65.7 


1989 


66.1 



United States Maryland United States Maryland United Stales 



68.5 
68.4 
67.4 
67.3 
65.8 
65.4 
66.2 
65.4 
65.7 
67.2 
69.2 



52.6 


64.5 


53.9 


64.7 


54.2 


63.9 


55.9 


63.9 


55.5 


62.4 


62.2 


62.2 


57.2 


63.0 


57.1 


61.9 


58.2 


62.0 


59.9 


63.0 


63.8 


64.7 



65.1 
66.4 
69.3 
73.0 
73.0 
73.6 
74.8 
75.7 
77.8 
79.7 
71.2 



91.4 
88.6 
85.4 
85.5 
83.2 
82.5 
83.2 
83.0 
84.4 
87.5 
90.6 



1979 
1980 
1981 
1982 
1983 
1984 
1985 
1986 
1987 
1988 
1989 



Total 



PERCENT OF LOW BIRTH WEIGHT*** 

White All Other Races 



Year Maryland United States Maryland United States Maryland United States 



7.8 
8.1 
7.7 
7.4 
7.8 
7.4 
7.6 
7.7 
7.8 
8.1 
8.0 



6.9 
6.8 
6.8 
6.8 
6.8 
6.7 
6.8 
6.8 
6.9 
6.9 
7.0 



5.8 
6.0 
5.7 
5.3 
5.6 
5.4 
5.4 
5.5 
5.5 
5.9 
5.9 



5.8 
5.7 
5.7 
5.6 
5.7 
5.6 
5.6 
5.6 
5.7 
5.6 
5.7 



11.8 
12.6 
11.6 
11.6 
12.2 
11.5 
12.0 
12.0 
12.1 
12.3 
12.3 



11.6 
11.5 
11.4 
11.2 
11.4 
11.1 
11.1 
11.2 
11.3 
11.5 
12.0 



* Birth Rates are per 1 ,000 Population. 
»* Fertility Rates are per 1 ,000 Women Aged 15-44 Years. 
'* Until 1979, Births Weighing 2,500 Grams or Less. From 1979, Births 
Weighing Less than 2,500 Grams. 



108 



TABLE 60. SELECTED NATALITY DATA BY RACE 
FOR MARYLAND AND THE UNITED STATES, 1979 - 1989 (Continued -2) 







PERCENT OF BIRTHS TO UNMARRIED WOMEN 








Total 


\ 


Wh ite 


All Other Races 


Year 


Maryland 


United States 


Maryland 


United States 


Maryland 


United States 


1979 


24.7 


17.1 


10.1 


9.4 


55.1 


48.8 


1980 


25.7 


18.4 


11.5 


11.0 


55.3 


48.5 


1981 


27.3 


18.9 


13.0 


11.6 


56.4 


48.5 


1982 


27.7 


19.4 


13.5 


12.1 


56.8 


48.8 


1983 


28.4 


20.3 


13.9 


12.8 


58.1 


50.0 


1984 


29.0 


21.0 


14.5 


13.4 


58.4 


50.8 


1985 


29.1 


22.0 


14.8 


14.5 


57.8 


51.4 


1986 


30.5 


23.4 


15.8 


15.7 


59.2 


52.4 


1987 


31.3 


24.5 


16.8. 


16.7 


58.7 


53.2 


1988 


30.6 


25.7 


17.1 


17.7 


55.3 


53.9 


1989 


28.9 


27.1 


15.7 


19.2 


54.7 


56.6 






PERCENT OF BIRTHS OF FOURTH ORDER OR HIGHER 




rotal 


White 


All Other Races 


Year 


Maryland 


United States 


Maryland 


United States 


Maryland 


United States 


1979 


7.2 


10.1 


6.4 


9.1 


8.8 


14.0 


1980 


6.5 


9.8 


5.6 


8.8 


8.5 


13.9 


1981 


6.8 


10.3 


5.9 


8.7 


8.7 


13.9 


1982 


6.8 


9.6 


5.7 


8.6 


9.2 


13.8 


1983 


6.8 


9.6 


5.7 


8.6 


9.0 


13.9 


1984 


6.8 


9.6 


5.7 


8.5 


9.0 


13.7 


1985 


6.8 


9.5 


5.7 


8.5 


9.2 


13.7 


1986 


6.8 


10.6 


5.7 


8.6 


9.0 


13.6 


1987 


7.2 


9.8 


6.1 


8.7 


9.3 


13.6 


1988 


7.1 


10.0 


5.9 


8.9 


9.3 


13.8 


1989 


7.3 


10.3 


6.2 


9.2 


9.5 


14.4 




1 


PERCENT OF BIRTHS WITH LATE * OR NO PRENATAL CARE 




rotal 


White 


All Other Races 


Year 


Maryland 


United States 


Maryland 


United States 


Maryland 


United States 


1979 


6.3 


5.1 


4.9 


4.3 


9.2 


9.1 


1980 


3.5 


5.0 


2.6 


4.1 


5.3 


8.4 


1981 


3.6 


5.2 


2.6 


4.3 


6.2 


8.9 


1982 


3.8 


5.5 


2.6 


4.5 


6.2 


9.3 


1983 


4.1 


5.6 


2.7 


4.6 


7.0 


9.4 


1984 


3.8 


5.6 


2.4 


4.7 


6.8 


9.2 


1985 


3.9 


5.7 


2.6 


4.7 


7.1 


9.5 


1986 


3.9 


6.0 


2.3 


5.0 


7.1 


9.9 


1987 


3.9 


6.1 


2.4 


5.0 


6.8 


10.3 


1988 


4.0 


6.1 


2.3 


5.0 


7.2 


10.1 


1989 


3.9 


6.4 


2.3 


5.2 


7.1 


11.1 


* Care Beginning i 


n the Third Trimester of Pregnancy. 


Excludes Not Stated 


or Not Reported 


. 



109 



TABLE 61. SELECTED MORTALITY DATA BY RACE 
FOR MARYLAND AND THE UNITED STATES, 1979 - 1989 









DEATH I 


* ATE S * 










Total 




White 


All Other Races 


Year 


Maryland 


United States 


Maryland 


United States 


Maryland 


United States 


1979 


7.8 


8.7 


8.2 


8.8 


6.5 


7.8 


1980 


8.1 


8.8 


8.5 


8.9 


6.8 


7.9 


1981 


8.0 


8.6 


8.4 


8.8 


6.8 


7.6 


1982 


8.0 


8.5 


8.3 


8.7 


7.1 


7.3 


1983 


8.1 


8.6 


8.5 


8.8 


7.1 


7.4 


1984 


8.1 


8.6 


8.5 


8.9 


7.0 


7.3 


1985 


8.3 


8.7 


8.7 


9.0 


7.2 


7.4 


1986 


8.4 


8.7 


8.7 


9.0 


7.4 


7.5 


1987 


8.4 


8.7 


8.7 


9.0 


7.4 


7.5 


1988 


8.4 


8.8 


8.7 


9.1 


7.5 


7.6 


1989 


8.1 


8.7 


8.4 


8.9 


7.1 


7.6 






INFANT MORTALITY RATES PER 1.000 LIVE BIRTHS 




Total 




White 


All Other Races 


Year 


Maryland 


United States 


Maryland 


United States 


Maryland 


United States 


1979 


14.6 


13.1 


11.4 


11.4 


21.1 


19.8 


1980 


14.1 


12.6 


11.4 


11.0 


19.7 


19.1 


1981 


12.8 


11.9 


10.6 


10.5 


17.3 


17.8 


1982 


11.7 


11.5 


8.9 


10.1 


17.3 


17.3 


1983 


11.7 


11.2 


8.9 


9.7 


17.3 


16.8 


1984 


11.7 


10.8 


9.8 


9.4 


15.7 


16.1 


1985 


11.9 


10.6 


9.0 


9.3 


17.8 


15.8 


1986 


11.7 


10.4 


9.4 


8.9 


16.1 


15.7 


1987 


11.4 


10.1 


8.6 


8.6 


16.6 


15.4 


1988 


11.2 


10.0 


8.4 


8.5 


16.3 


15.0 


1989 


10.4 


9.8 


8.3 


8.2 


14.2 


15.2 




I 


JEONATAL MORTALITY RATES PER 1.000 LIVE BIRTHS 






Total 




White 


All Other Races 


Year 


Maryland 


United States 


Maryland 


United States 


Maryland 


United States 


1979 


10.5 


8.9 


8.3 


7.9 


15.5 


12.9 


1980 


10.2 


8.5 


8.2 


7.5 


14.4 


11.5 


1981 


9.4 


8.0 


7.8 


7.1 


12.6 


11.8 


1982 


8.4 


7.7 


6.3 


6.8 


12.9 


11.3 


1983 


8.1 


7.3 


6.1 


6.4 


12.2 


10.8 


1984 


8.1 


7.0 


6.7 


6.2 


10.8 


10.2 


1985 


8.2 


7.0 


6.0 


6.1 


12.7 


10.3 


1986 


8.2 


6.7 


6.4 


5.8 


11.7 


10.1 


1987 


7.8 


6.5 


5.8 


5.5 


11.7 


10.0 


1988 


7.9 


6.3 


5.8 


5.4 


11.8 


9.7 


1989 


6.5 


6.2 


5.0 


5.2 


9.3 


9.6 



* Death Rates are per 1 ,000 Population. 



oo not 



CIRCULAR